Provider Demographics
NPI:1386604353
Name:HARM, KENNETH ROBBINS JR (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:ROBBINS
Last Name:HARM
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 KENT DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7607
Mailing Address - Country:US
Mailing Address - Phone:717-732-1736
Mailing Address - Fax:
Practice Address - Street 1:1000 CLAREMONT RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-7310
Practice Address - Country:US
Practice Address - Phone:717-240-1960
Practice Address - Fax:717-240-1945
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019996E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA024198Medicare ID - Type Unspecified
C27772Medicare UPIN